{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:41:35Z","timestamp":1787510495467,"version":"build-2736575974"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Rabies, commonly referred to as the endemic disease of the impoverished in Pakistan, remains a significant public health concern. Globally, it contributes to over 55,000 fatalities annually, with 31,000 cases reported in Asia, predominantly among children. In Karachi, the yearly occurrence of rabies ranges between 7 and 9.8 cases per million individuals. However, the actual burden is likely underestimated due to underreporting. Key challenges in Pakistan include limited awareness and increasing dog bite incidents. To address this, comprehensive educational programs focusing on proper wound care, the ineffectiveness of homemade remedies, the importance of early medical intervention, and the administration of vaccines and post\u2010exposure prophylaxis are imperative. Implementing a One Health model, encompassing mass vaccination, cost\u2010effective treatments, training on intradermal vaccine administration, accurate data collection, and community awareness initiatives, is essential for rabies control. This article aims to provide policymakers and scholars with valuable insights into the primary factors and challenges of controlling endemic human rabies in Pakistan and proposes effective strategies for its control, with the ultimate goal of achieving rabies\u2010free status by 2030.<\/jats:p>","DOI":"10.1002\/puh2.168","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T05:44:45Z","timestamp":1711086285000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Rabies in Pakistan: Policies and recommendations"],"prefix":"10.1002","volume":"3","author":[{"given":"Abdul","family":"Jabbar","sequence":"first","affiliation":[{"name":"Department of Veterinary Medicine Faculty of Veterinary Science University of Veterinary and Animal Sciences  Lahore Punjab Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6687-4526","authenticated-orcid":false,"given":"Attaullah","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"Medical Research Center Kateb University  Kabul Afghanistan"},{"name":"Department of Quantitative Methods in Public Health \u00c9cole des Hautes \u00c9tudes en Sant\u00e9 Publique (EHESP)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimra","family":"Irm","sequence":"additional","affiliation":[{"name":"Department of Animal Breeding and Genetics University of Veterinary and Animal Sciences, Ravi Campus  Pattoki Punjab Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqra","family":"Naseeb","sequence":"additional","affiliation":[{"name":"Institute of Microbiology Faculty of Veterinary Science University of Veterinary and Animal Sciences  Lahore Punjab Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shekiba","family":"Madadi","sequence":"additional","affiliation":[{"name":"Medical Research Center Kateb University  Kabul Afghanistan"},{"name":"Premier Cardiac and Vascular  Fredericksburg Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2179-6365","authenticated-orcid":false,"suffix":"III","given":"Don Eliseo","family":"Lucero\u2010Prisno","sequence":"additional","affiliation":[{"name":"Department of Global Health and Development London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2021.106011"},{"key":"e_1_2_11_3_1","unstructured":"World Health Organization World Organisation for Animal Health Food and Agriculture Organization Global Alliance for Rabies Control.Zero by 30: The Global Strategic Plan to End Human Deaths from Dog\u2010Mediated Rabies by 2030.WHO;2018. Accessed June 18 2018.https:\/\/iris.who.int\/handle\/10665\/272756"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09388-9"},{"issue":"3","key":"e_1_2_11_5_1","first-page":"136","article-title":"Occurrence of rabies and dog bite in Rawalpindi District, Pakistan","volume":"12","author":"Shah SI","year":"2016","journal-title":"Ann Pak Inst Med Sci"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.37.3.3464"},{"key":"e_1_2_11_7_1","first-page":"23","article-title":"Frequency, pattern and management of dog bite injuries in children in a developing country","volume":"20","author":"Sharif M","journal-title":"Chest"},{"issue":"7","key":"e_1_2_11_8_1","first-page":"868","article-title":"Knowledge, attitude and practice regarding rabies in rural area of Lahore","volume":"9","author":"Noureen R","year":"2018","journal-title":"Int J Sci Eng Res"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2017.00103"},{"key":"e_1_2_11_10_1","unstructured":"University of Veterinary Science and Animal Sciences Lahore.Can Pakistan meet the global goal of rabies eradication by 2030? Possible approaches.University of Veterinary Science and Animal Sciences Lahore;2021. accessed June 11 2021.http:\/\/www.uvas.edu.pk\/doc\/MBA\/policy\/rabies\u20103.pdf"},{"key":"e_1_2_11_11_1","first-page":"2","article-title":"Frequency and recommendation to control dog bite injuries in Islamabad Pakistan","volume":"33","author":"Hussain RI","year":"2017","journal-title":"Gomal Univ J Res"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.21-0448"},{"issue":"2","key":"e_1_2_11_13_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0004448","article-title":"Reducing cost of rabies post exposure prophylaxis: experience of a tertiary care hospital in Pakistan","volume":"10","author":"Salahuddin N","year":"2016","journal-title":"PLoS NeglTrop Dis"},{"issue":"2","key":"e_1_2_11_14_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0004448","article-title":"Reducing cost of rabies post exposure prophylaxis: experience of a tertiary care hospital in Pakistan","volume":"10","author":"Salahuddin N","year":"2016","journal-title":"PLoS NeglTrop Dis"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2019.01.041"}],"container-title":["Public Health Challenges"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/puh2.168","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T13:57:43Z","timestamp":1749218263000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/puh2.168"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/puh2.168"],"URL":"https:\/\/doi.org\/10.1002\/puh2.168","archive":["Portico"],"relation":{},"ISSN":["2769-2450","2769-2450"],"issn-type":[{"value":"2769-2450","type":"print"},{"value":"2769-2450","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-06-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e168"}}